HomeMy WebLinkAbout18-19969 CITY OF ZEPHYRHILLS /
5335-8TH STREET
(813)780-0020 19969
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 19969 Address: 39115 OLD MILL LN
Permit Type: RE-ROOF ZEPHYRHILLS, FL.
Class of Work: ROOF REPLACEMENT Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: SUMMERHILL
Est. Value: Parcel Number:
Improv. Cost: 10,000.00 OWNER INFORMATION
Date Issued: 7/17/2018 Name: DILLARD ROBERT & BEVERLY
Total Fees: 90.00 Address: 39115 OLD MILL LN
Amount Paid: 90.00 ZEPHYRHILLS FL 33542-8201
Date Paid: 7/17/2018 Phone: 248-860-9710
Work Desc: REROOF SHINGLE
CONTRACTORS APPLICATION FEES
RYMAN ROOFING INC REROOF RESIDENTIAL 90.00
DRY IN ROOF INSP Ins ections Required
TAPE JOINTS ROO• NSP
FINAL
REINSPECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80 (2)(c)the
local government shall impose a fee of four times the amount of the fee imposed for the initial inspection or
first reinspection,whichever is greater,for each such subsequent reinspection.
NOTICE: In addition to the requirements of this permit, there maybe additional restrictions applicable to this property that
may be found in the public records of this county, and there may be additional permits required from other governmental
entities such as water management, state agencies or federal agencies.
"Warning to owner: Your failure to record a notice of commencement may result in your paying twice for
improvements to your property. If you intend to obtain financing, consult with your lender or an attorney
before recording your notice of commencement."
Complete Plans,Specifications Must Accompany Application. All work shall be performed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
C,&z &kAo-1,
CONTRACTOR SIGNATURE PERMIT OFFICZR
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
Buuomg uepartment
Date Received I a I Phone Contact for Permitting
Owner's Name )be `'d' geva l O 1 I�0,f Owner Phone Number
Owner's Address I I5 d I I L<¢(lQ V` (h r I S Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address (� r
JOB ADDRESS l oI ( '/y�III rl � Y1�I�S. I ���� LOT# �1
SUBDIVISION Umm�� Oil I PARCEL ID# I -9�-'�I 'blv� ��, 03I
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR ADD/ALT �/ SIGN Q MOVE 0 DEMOLISH
e INSTALL e REPAIR
PROPOSED USE SFR 0 COMM Q OTHER
TYPE OF CONSTRUCTION Q BLOCK 0 FRAME 0 STEEL Q OTHER
DESCRIPTION OF WORK eGUO �e-�(,�� Q�Ss "''J r m't`�l� .V . Ies FIB lb�a'y � L2��` a•S�(+�
BUILDING SIZE SQ FOOTAGE HEIGHT
------------
BUILDING $ )h O r VALUATION OF TOTAL CONSTRUCTION '
0 ELECTRICAL $ I U AMP SERVICE PROGRESS ENERGY' Q W.R.E.C.
PLUMBING $
0 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ( �(p
0 GAS 0 ROOFING 0 SPECIALTY OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES ONO
BUILDER- . COMPANY
SIGNATURE l REGISTERED Y/ N FEE CURRENT YI /N
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRENT
Address License# '
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRENT
Address F License#
MECHANICAL COMPANY'
SIGNATURE REGISTERED Y/ N FEE CURRENT
Address License# ;
OTHER - COMPANY
Imp Od(t, ��'
SIGNATURE _2 II^ I REGISTERED N FEE RRENT /N
Address' I3 Sn� 5 / ►I (V11ltS A335 1 License# L C�4D5565
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, '
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects
COMMERCIAL. 'Attach(3)sets of'Building Plans;(1)set of Energy Forms.R-O-W.Permit for new construction.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Ferice installed,
Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirem_ ents'must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
'""*PROPERTY SURVEY required for all NEW construction.
Directions:
Fill out application completely.
Owner&Contractor sign back of application,notarized
If over$2500,a Notice of Commencement is required. (A/C upgrades over$5000)
** Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same
'OVER THE COUNTER PERMITTING (Front of Application Only)
Reroofs Sewers Service Upgrades A/C Fences(Plot/SuNey/Footage)
Driveways-Not over Counter if on public roadways-needs ROW
10
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Rept:1972611 Rec: 10.00
Addroes Ds: 0.00 IT: 0.00
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LOWE'S AUTHORIZED REPRESEuTATivE NUMBER: CUSTOMER
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STRIZET ADDRESS
STORE NO. STREET ADDRESS*
ek/J 318 61d IT71/I
CITY • STATE ZIP C TY• STATE• ZIP
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TELEPHONE TELEPHONE
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ATE LOWE'S CONTRACTOR LICENSE NUMBER
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NMI '.,R 151 Vr.
INSTALLATION STREET ADDRESS CITY STATE ZIP
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NOTICE TO CUSTOMER—PRICE CALCULATIONV.In order to property perf&rm the Ata.1lation of certain Goods,the Cbntract'Price may include more
Goods than actually will be installed based on the measured square footage of the Project Area.As a result,the parfles.agree that the lump-sum Price
stated in this Contract is calculated upon both the value of estimated Goods required to fulfill the Contract(including waste),which may exceed the actual
square footage of the Project Area,and the labor which may be estimated based,on the amount of Goods required to fulfill the Contract(including waste).
By sighing this Contract below,Customer acknowledges receipt of this notice and agrees and understands that the Price includes these costs Which may
not be refunded once the Installation Services are performed.
NOTICE TO CUSTOMER: Federal law requires Lowe's to provide you with the
pamphlet Rehovaile Right.By signing this Coriitract,Custorher acknowledges
having received a copy of this pamphlet'bef6re work began,Informing Customer Contract Total
of the potential risk of the lead hazard exposure from renovation activity to be *applicable taxes included
performed in Customer's dwelling unit
NOTE: If rotted Wood is discovered during installation addlitidna i I charges will apply.You will be-given a quote and a change,order
must be completed and signed by the,customer for any additional charges,—Customer must initial.
*Any work or material not specified is not Included in this contract.Any changes or addlilons will be at an additional charge for th6 material arid labor,
NOTICE TO OWNER: — ACCORDING TO FLORIDA'S CONSTRUCTION LIEN LAW SECTIONS 713.001-713.37, FLORIDA
STATUTES),THOSE-WHO WORK ON YOUR-PROPERTY OR PROVIDE MATERIALS AND SERVICES AND ARE NOT PAID IN
FULL HAVE A RIGHT TO ENFORCE THEIR CLAIM FOR PAYMENT AGAINST YOUR PROPERTY.THIS CLAIM IS KNOWN AS A
CONSTRUCTION LIEN. IF YOUR CONTRACTOR. OR A SUBCONTRACTOR FAILS TO PAY' SUBCONTRACTORS,
SUB-SUBCONTRACTORS, OR MATERIAL SUPPLIERS, THOSE PEOPLE WHO ARE OWED MONEY MAY LOOK TO YOUR
PROPERTY FOR PAYMENT,EVEN IF YOU HAVE ALREADY PAID YOUR CONTRACTOR IN FULL.IF YOU FAIL TO PAY YOUR
CONTRACTOR,YOUR CONTRACTOR MAY ALSO HAVE A LIEN ON YOUR PROPERTY.THIS MEANS IF A LIEN IS FILED YOUR
PROPERTY COULD BE SOLD AGAINST YOUR WILL TO PAY FOR LABORi MATERIALS,OR OTHER SERVICES THAT YOUR
CONTRACTOR OR A SUBCONTRACTOR MAY HAVE FAILED TO PAY,TO PROTECT YOURSELF,YOU.SHOULD STIPULATE
IN THIS CONTRACT THAT BEFORE ANY.PAYMENT IS MADE,YOUR CONTRACTOR IS REQUIRED TO PROVIDE YOU WITH A
WRIT-TEN RELEASE OF LIEN FROM ANY PERSON OR COMPANY THAT HAS PROVIDED TO YOU A"NOTICE TO OWNER.,,
FLORIDA'S CONSTRUCTION LIEN LAW IS COMPLEX,AND IT IS RECOMMENDED THAT YOU CONSULTAN ATTORNEY.
PHOTO RELEASE:Customer grants to Lowe's and Lowe's-emptoyqes and independent contractors the right to take photographs of the Premises wher'p
Installation Services will be performed and all work performed at the Premises related to this Contract,and irrevocably grants to Lpwes all right,.'title and
interest in and to the photographs for use in all markets and media,worldwide,in perpetuity.Customer authorizes Lowe's to'copyright,use and publish the
photographs,in print and/or electronically,and agrees that Lowe's may use such photogiaphs for any lawful purpose,Including,but not limited to,marketing,
advertising,publicity,illustration,training and V46 content.By initiating here,Cu.stomer agrees to the foregoing. [Customer to initial to the left].
Work* to co M upon reasonable availability of Contractor and/or any special order or customer tppd�e Good(s)which Is anticipated to'be
e
[fill In date].Estimated completion date is W/i6k/1 9 kntkpglb 3 [fill in date].
Said estimated substantial completion date is not of the essence,A statement of any contingencies that would materially change said estimated substantial
completion date is as follows:
(if applicable,insert a statement of such contingencies).
This Contract provides that all clalms.1by Customer or Lowe's will be resolved by BINDING ARBITRATION.Customer and Lowe's GIVE UP THE RIGHT
TO GO TO COURT to enforce this Cohtrkq(EXCr3PT for matters that-may.be taken to SMALL CLAIMS COURT).Lowe's and Customer's rights will be,,
determined by aNEUtRAO ARBIT4ZATOfel add NOT 6 JHj�&eo.r;jur, . Ldwels and 1bus*tc;rrlar are•'e`niitleh to . FAIR HENRING: B.421thef-aibltrdtlon-'
procedures are SIMPLER AND MORE LIMITED THAN RULES APPLICABLE IN COURT.Arbitrator decisions are as enforceable•as any court order and
are subject to VERY LIMITED REVIEW BY A COURT.FOR MORE DETAILS:Review the section titled ARBITRATION AGREEMENT,WAIVER OF JURY
TRIAL AND WAIVER OF CLASS ACTION ADJUDICATION found in the Terms and Conditions of this Contract.
1
D
City of Ze h rhills
Y P Y
r•o. f fl 5335 8th St
r, Zephyrhills FL 33542
(813).780-0020
ROOFING INSPECTION AFFIDAVIT
Permit No.: I
`- R (}'l�l� licensed under Chapter 468, Florida Statutes as a(n):
Contractor Engineer_Architect_Building Inspector
License No. c C, 13 a-JC5
On or about=B1 did personally inspect the:
Check: Roof Deck Nailing Dry in / Flashing and Drip edge
Check which was used: 30#felt Peel and Stick_Other(List)
At the following .� 5 tm I EGAD
address:
Ze,ph�.( ti 1l S FI 3Sy�
Based upon�that examination, I have determined the installation was done according to the Hurricane
Mitigation Retrofit Manual (Based on Section 553.844, Florida Statutes).
Signatu
STATE OF
COUNTY OF PASCO
Swor to and subscrib d before this day
BY- 00�
Notary Public State of Florida
<I
.. ., ANGELA HAYWOOD
0.r PU;�c'; Notary Public-State of Florida
#•_ . Commission#FF 912551
For My Comm.Expires Aug 24,2019
Bonded through National Notary Assn.
J